Complicated prior authorization and appeals processes can make navigating reimbursement processes difficult and time-consuming for patients. Our e-enabled patient reimbursement services significantly expedite the turnaround time for the benefits verification and prior authorization processes, while our compassionate, multilingual, accessible patient services team provides expert help for more complex insurance approvals.
- Electronic benefits investigation: Our eBV technology rapidly verifies patient eligibility prior to billing, providing detailed and comprehensive results back to patients, caregivers and providers before the start of therapy.
- Electronic prior authorization and appeals management: We leverage our proven electronic prior auth (ePA) technology to electronically submit the necessary information to secure real-time payer approvals. When an appeal is required, we initiate and coordinate up to three levels of appeals.
- Claims tracking, billing and coding: We work with patients and providers to identify and resolve billing questions, coding errors and form-completion issues. We assist with resubmission of claims and provide you with aggregate data regarding common claims errors, to help you mitigate reimbursement obstacles in the future.
- Multi-enrollment user portal: Our portal makes it easy to enroll multiple patients in patient support programs at once. Additionally, for pharma companies with rebate programs for multiple drugs, our multi-enrollment user portal streamlines the process of enrolling patients across therapies.